TY - JOUR
T1 - Comparison of 26-gauge Atraucan® and 25-gauge Whitacre needles
T2 - insertion characteristics and complications
AU - Sharma, S. K.
AU - Gambling, D. R.
AU - Joshi, G. P.
AU - Sidawi, J. E.
AU - Herrera, E. R.
N1 - Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.
PY - 1995/8
Y1 - 1995/8
N2 - Ninety-six women undergoing post-partum tubal ligation under spinal anaesthesia were studied to compare 26G Atraucan® with 25G Whitacre spinal needles for ease of insertion, number of attempts at needle insertion, cerebrospinal fluid (CSF) flow characteristics through the needles, quality of subsequent analgesia, and incidence of perioperative complications. A higher rale of successful durai puncture at the first attempt (40/50 vs 27/46, P < 0.05) and faster (mean ± SD, 11.5 ± 2.2 vs 13.5 ± 2.4, P < 0.001) CSF flow through the needle was achieved with the Atraucan® than with the Whitacre needle. The incidence of failed spinal (4% vs 5%) and post-dural puncture headache (PDPH) (4% vs 4.3%) was similar with both needles, but more patients experienced paraesthesiae during needle insertion with the Whitacre than with the Atraucan® needle (15% vs 2%, P < 0.05). We conclude that the use of the 26G Atraucan® needle is associated with a higher rate of successful identification of the subarachnoid space at the first attempt, faster CSF backflow, and fewer paraesthesia when compared with the 25G Whitacre needle.
AB - Ninety-six women undergoing post-partum tubal ligation under spinal anaesthesia were studied to compare 26G Atraucan® with 25G Whitacre spinal needles for ease of insertion, number of attempts at needle insertion, cerebrospinal fluid (CSF) flow characteristics through the needles, quality of subsequent analgesia, and incidence of perioperative complications. A higher rale of successful durai puncture at the first attempt (40/50 vs 27/46, P < 0.05) and faster (mean ± SD, 11.5 ± 2.2 vs 13.5 ± 2.4, P < 0.001) CSF flow through the needle was achieved with the Atraucan® than with the Whitacre needle. The incidence of failed spinal (4% vs 5%) and post-dural puncture headache (PDPH) (4% vs 4.3%) was similar with both needles, but more patients experienced paraesthesiae during needle insertion with the Whitacre than with the Atraucan® needle (15% vs 2%, P < 0.05). We conclude that the use of the 26G Atraucan® needle is associated with a higher rate of successful identification of the subarachnoid space at the first attempt, faster CSF backflow, and fewer paraesthesia when compared with the 25G Whitacre needle.
KW - anaesthetic technique: spinal
KW - complications: headache, paraesthesia
KW - equipment: spinal needles
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U2 - 10.1007/BF03012669
DO - 10.1007/BF03012669
M3 - Article
C2 - 7586110
AN - SCOPUS:0029146359
SN - 0832-610X
VL - 42
SP - 706
EP - 710
JO - Canadian Journal of Anaesthesia
JF - Canadian Journal of Anaesthesia
IS - 8
ER -